文章摘要
赵西茜,乔学斌,陈家应.高血压患者对家庭医生签约服务的利用现状研究[J].南京医科大学学报(社会科学版),2018,(3):210~214
高血压患者对家庭医生签约服务的利用现状研究
Research on the utilization of family doctor service in patients with hypertension
投稿时间:2018-02-22  
DOI:10.7655/NYDXBSS20180310
中文关键词: 家庭医生签约服务  高血压  社区
英文关键词: family doctor service  hypertension  community
基金项目:2015年江苏省哲学社会科学基金重点项目“基于健康公平促进的公共卫生政策研究”(15SHA003)
作者单位
赵西茜 南京医科大学医政学院 江苏 南京 211166 
乔学斌 南京医科大学医政学院 江苏 南京 211166 
陈家应 南京医科大学医政学院 江苏 南京 211166 
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中文摘要:
      目的:探究高血压患者对家庭医生签约服务的利用现状。方法:采用自制调查问卷调查南京市玄武区某社区卫生服务中心辖区内6个社区的264例高血压患者,了解患者对家庭医生签约服务的认知和利用情况、自我管理方式和血压控制效果。结果:签约患者186例,设为观察组,未签约患者78例,设为对照组;55.3%的患者对签约服务的认知有待加强;观察组对签约服务的知晓率和利用率均显著高于对照组(P <0.05);转诊绿色通道和预约上门是签约患者专享服务,但利用率很低;不同文化程度、不同年龄患者对签约服务的利用率有差别(P <0.05);观察组自我管理依从性和血压控制效果显著优于对照组(P <0.05)。结论:需要加大对家庭医生签约服务的宣传力度,大力培养全科人才,建立有效的考核机制和激励机制,完善配套政策措施,建立“朋友式”医患关系,以满足居民日益增长的医疗卫生需求。
英文摘要:
      Objective: To investigate the utilization of family doctor services in hypertensive patients. Methods: Self ? made questionnaires were distributed to 264 hypertensive patients from 6 communities administrated by a community healthcare center of Xuanwu District in Nanjing. The cognition and utilization to family doctor services, self?management behavior and the effectiveness of blood pressure control were investigated by the questionnaire. Results: A total of 186 patients had family doctors (the observation group), and 78 patients without family doctors (the control group). 55.3% of patients were insufficiently aware of family doctor services. The awareness and the utilization rates of family doctor services in the observation group were higher than those in the control group (P<0.05). Green channel of referral and family medical service were exclusive for patients with family doctors, but the utilization rates were both very low. The utilization rates of family doctor services in people with different education background or age were different (P<0.05). The compliance on self?management behavior and the effectiveness of blood pressure control in the observation group were better than those in the control group (P<0.05). Conclusion: In order to meet the increasing medical need of residents, it is necessary to make better publicity, cultivate more qualified general practitioners, establish efficient assessing and incentive mechanism, improve supporting policy and measures and create doctor?patient relationship based on friendship.
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